advanced hepatocellular carcinoma with ChildPugh liver function class B MedDRA version: 9.1 Level: LLT Classification code 10024720
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ? Patients with diagnosis of HCC according to the AASLD- EASL criteria (10) ? Age >18 years ? Advanced stage of disease defined as HCC not eligible for locoregional treatments (ab initio or following progression after such treatments) ? Liver function classified as Child class B ? ECOG performance status ? 2 ? Adequate renal (creatinine ? 1.5 x ULN), and haematological function (platelet count ? 60 x 10^9/L, hemoglobin ? 9 g/dl) ? Life expectancy of at least 2 months ? Written informed consent Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: ? Prior exposure to sorafenib ? Performance Status (ECOG) ?3 ? Concomitant diseases that contraindicates the use of sorafenib ? Gastro-intestinal bleeding in the previous 30 days ? Serious active infections (> grade 2 CTCAE version 3.0) ? Pregnant or lactating women ? Not cooperative patients ? Inability of patients to access to the hospital ? Grade 3-4 encephalopathy that makes the patient not able to follow study procedures (Table 2) ? Refusal of informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: to compare two doses of sorafenib (800 and 400 mg/day) with best supportive care in terms of survival in HCC patients with impaired liver function (Child B).;Secondary Objective: to compare the three treatment arms in terms of toxicity and quality of life.;Primary end point(s): OVERALL SURVIVAL | — |
Countries
Italy